Page 2074 - Saunders Comprehensive Review For NCLEX-RN

insomnia.
16. Monitor for medication dependence and abuse with
amphetamines.

17. If a child is taking a CNS stimulant, instruct

the parents to notify the school nurse.
18. Monitor for calming effects of CNS stimulants within 3
to 4 weeks on children with attention-
deficit/hyperactivity disorder.

19. Monitor growth in the child on long-term

therapy with methylphenidate or other medications
to treat attention-deficit/hyperactivity disorder.
VI. Nonopioid Analgesics
A. Nonsteroidal antiinflammatory drugs (NSAIDs; Box 59-10)
1. Description
a. NSAIDs are acetylsalicylic acid and
acetylsalicylic acid–like medications
that inhibit the synthesis of
prostaglandins.
b. The medications act as an analgesic to
relieve pain, an antipyretic to reduce
body temperature, and an
anticoagulant to inhibit platelet
aggregation.
c. NSAIDs are used to relieve
inflammation and pain and to treat
rheumatoid arthritis, bursitis,
tendinitis, osteoarthritis, and acute
gout.

d. NSAIDs are contraindicated in

clients with hypersensitivity or liver or
renal disease.

e. Clients taking anticoagulants

should not take acetylsalicylic acid or
NSAIDs.
f. Acetylsalicylic acid and an NSAID
should not be taken together, because
aspirin decreases the blood level and
effectiveness of the NSAID and can
increase the risk of bleeding.
g. NSAIDs can increase the effects of
warfarin, sulfonamides,
cephalosporins, and phenytoin.
h. Hypoglycemia can result if ibuprofen is

2074